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Endoscopic Stenting of Gastric Staple Line Leak Following Sleeve Gastrectomy

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Abstract

Laparoscopic sleeve gastrectomy is known to be associated with a risk of gastric staple line leak. We report on our experience with endoscopic stenting of the anomalous leaking tract. Three cases of post sleeve gastric leak confirmed by computed tomography scan were treated by endoscopic stenting of their leak with a plastic endoprosthesis under fluoroscopic and endoscopic guidance. Endoscopic stenting by means of biliary or pancreatic endoprosthesis was successful in the three patients. The median number of endoscopy procedures per patient was 1.3. Stents were extracted 6 to 10 weeks after their placement. Neither morbidity nor recurrence was noticed on follow-up. Endoscopic stenting of gastric staple line leak following sleeve gastrectomy proved to be an efficacious technique for leak healing.

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Conflict of Interest

All authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Gastroenterology Department, Hotel Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

    Rita Slim

  2. Radiology Department, Hotel Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

    Tarek Smayra

  3. Surgery Department, Hotel Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon

    Ghassan Chakhtoura & Roger Noun

Authors
  1. Rita Slim
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  2. Tarek Smayra
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  3. Ghassan Chakhtoura
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  4. Roger Noun
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Correspondence to Rita Slim.

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Slim, R., Smayra, T., Chakhtoura, G. et al. Endoscopic Stenting of Gastric Staple Line Leak Following Sleeve Gastrectomy. OBES SURG 23, 1942–1945 (2013). https://doi.org/10.1007/s11695-013-1072-2

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  • DOI: https://doi.org/10.1007/s11695-013-1072-2

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